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Multicomponent cognitive-behavioural intervention to improve sleep in adolescents: a multiple baseline design
Melissa C Hendricks1, Cynthia M Ward1, Lauren K Grodin1
1Kennedy Krieger Institute, and Johns Hopkins University School of Medicine, Baltimore, USA.
Cognitive-behavioral interventions effectively improved sleep in adolescent females by addressing individual needs and promoting autonomy. This approach led to better sleep duration, reduced latency, and enhanced daytime functioning.
Area of Science:
- Adolescent sleep medicine
- Developmental psychology
- Behavioral sleep therapy
Background:
- Adolescents frequently experience sleep problems with unique developmental considerations.
- Sleep disturbances in adolescents can negatively impact physical, emotional, and behavioral health.
Purpose of the Study:
- To assess an individualized, multicomponent intervention for adolescent sleep disruption.
- To incorporate developmental factors and promote autonomy in treatment for three adolescent females.
Main Methods:
- Utilized a nonconcurrent multiple baseline design to evaluate intervention effectiveness.
- Employed a cognitive-behavioral intervention including sleep hygiene, routine development, cognitive restructuring, relaxation, stimulus control, sleep restriction, and problem-solving.
- Integrated clinical individualization tailored to each adolescent's needs.
Main Results:
- Demonstrated clinically significant improvements in sleep parameters, including total sleep time (TST), sleep onset latency (SOL), and sleep efficiency (SE).
- Observed reduced night awakenings (NA) and improved timing of sleep onset.
- Reported anecdotal evidence of enhanced daytime functioning, coping mechanisms, and overall well-being from participants and parents.
Conclusions:
- Cognitive-behavioral interventions show promise for treating complex sleep issues in adolescents.
- Individualized approaches are crucial for facilitating healthy sleep patterns during adolescence.
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